NPI | 1871809509 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.009398) |
Additional Taxonomies | 103T00000X Psychologist (Licence: WI 3380-57) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2010-08-18 |
Last Update Date | 2020-11-24 |